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Eligibility Screening Survey - Licensed Anglers - Paper
Biomonitoring of Great Lakes Populations Program III
OMB: 0923-0056
IC ID: 226321
OMB.report
HHS/TSDR
OMB 0923-0056
ICR 201710-0923-001
IC 226321
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0923-0056 can be found here:
2018-01-17 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Eligibility Screening Survey - Licensed Anglers - Paper
Form and Instruction
Eligibility Screening Survey for Licensed Anglers (paper
5b.Eligibility_LicAngScrngSrvy_paper_revised clean.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Eligibility Screening Survey - Licensed Anglers - Paper
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NA
Eligibility Screening Survey for Licensed Anglers (paper) 31OCT2017
5b.Eligibility_LicAngScrngSrvy_paper_revised clean.docx
NA
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
156
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
156
0
0
0
0
156
Annual IC Time Burden (Hours)
13
0
0
0
0
13
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.